<!DOCTYPE html>
<html lang="en">
<head>
    <meta charset="UTF-8">
    <meta name="viewport" content="width=device-width, initial-scale=1.0">
    <title>Document</title>
</head>
<body>
     
    <form action="">        
    <table >
        <caption><h2>大学生心理健康调查表</h2></caption> 
    <tr>
        <td><label for="name">姓名：</label></td>
        <td><input type="text" name="name" required="required"></td><br>
        
    </tr>    
    <tr>
        <td>性别：</td>
        <td>
            <input type="radio" name="sex"  checked="checked">男
            <input type="radio" name="sex" >女<br>
        </td>
    </tr>

  <tr>
      <td>邮箱</td>
  <td>
    <input type="email" name="email" > 
  </td>
</tr> <br> 
 <tr>
     <td>年龄：</td>
     <td><input type="number" name="nianling" ></td>
 </tr>  <br>
  <tr>
      <td>籍贯：</td>
      <td><select name="jiguan" >
        <option value="上海">上海</option>
        <option value="河北">河北</option>
        <option value="湖南">湖南</option>
        <option value="河南"  selected >河南</option>
      </td>
    </select>
  </tr>  <br>
       
 <tr>
     <td>出生日期：</td>
     <td><input type="date" name="date"></td>
 </tr> <br>
 <tr>
     <td>上传身份证正反面:</td>
     <td><input type="file" name="file"></td>
 </tr>   <br>
 <tr>
     <td><h2>多选题</h2></td>
 </tr>   
<tr>
    <td>下列哪些因素属于危险性行为因素</td>
    <td>
        <input type="checkbox" name="xingwei" >在过大的压力下生活别人<br>
        <input type="checkbox" name="xingwei" >吸烟<br>
        <input type="checkbox" name="xingwei" >暴力<br>
        <input type="checkbox" name="xingwei" >跑步<br>
        
    </td>
</tr>
<tr>
    <td></td>
    <td><p>简述大学生心理健康标准</p>  
        <textarea name="liuyan"  cols="30" rows="10" ></textarea><br>
        <input type="checkbox" checked="checked">我承诺填写为真实情况<a href="file:///C:/Users/Administrator/Desktop/2.html">详细条款</a><br>
        <button type="submit"><img src="11月份月考/btn.png" > <br>
            <button type="reset">重置</button>
    </td>
</tr>

 


    </table>
</form>
</body>
</html>